Business and Commercial Insurance Quote in West Islip, New York

632 Union Boulevard
West Islip, New York 11795
Phone (631) 669-6200
Fax (631) 669-2349

Our commitment is to serve you with the highest degree of professionalism. You can expect our associates to utilize their extensive knowledge and experience to act as your personal insurance advisors. Our formula for success is quite simple - We work for you.

Thank you for your trust in us,

Dan Weber, President

Business and Commercial Insurance Quote

First & Last Name:
Business Name:
Street Address:
City, State & Zip:		,
E-Mail Address:
Telephone:		Fax:
Current Insurance Information
Insurance Company Name:
Any Losses in last 3 yrs?:
Premium Amount:		Policy Exp. Date:
Describe the Type of Coverage you Currently have:
About Your Business
# of Full-time	# of Part-time	Yrs. in Business	# of Locations:

Yr. building built	Sprinklered?	Annual Gross Sales	Square Footage?

Building Type:		Type of Business:
Owned Autos:		Est. payroll / mo.:
Please describe your business here: